Post on 06-Jul-2020
Philips Hospital to Home:
redefining healthcare through innovation in telehealth
Philips Hospital to Home2
Healthcare costs are at a crisis point, forcing the federal
government to make comprehensive changes to healthcare
payment models. The cost of caring for patients needs
to go down while the quality of care needs to improve.
This means it can’t be business as usual. Technology
alone, while promising, isn’t enough to help providers like
you continue to survive in this environment. Healthcare
organizations need a new way of operating altogether and
Philips is the partner that can help you change in ways that
allow you to thrive.
Redefining care coordination through telehealth
In this new, risk-based payment environment, telehealth is able to provide the necessary access, leverage, quality and cost reductions you need to be successful in this new paradigm; and Philips is the optimal partner with both telehealth and care coordination expertise to help you manage this risk. We do this with care delivery programs supported by advanced telehealth technologies,
complex clinical algorithms and behavioral science. What’s more, Philips doesn’t just provide the technology and guidelines—we work closely with you and your advisors, as trusted partners, every step of the way—from implementation and training through the life of the engagement and to your ultimate success.
Percentage of GDP spent on healthcare
Costs have risendramatically over thelast 30 years
Source OECD Health Statistics, World Population Prospects 2012
As you focus on efficiently caring for your growing population of chronically
ill patients, who collectively account for roughly 80% of the $2.8 trillion
annual US healthcare spend, Philips can be a unique partner:
Philips provides telehealth technology
for care across all patient settings.
Philips creates comprehensive
telehealth-enabled clinical transformation
programs for the hospital and the home.
Philips combines these technologies
and programs with behavioral and social
sciences to develop scalable, personalized
medicine from the hospital to the home.
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A holistic operating model for your teams
•Enablingpopulationhealthmanagementbyproviders.
Advanced patient engagement
•Programs to engage and motivate patients towards a healthier lifestyle.
• Programtechnologytounderpintheprogram.
Labor efficiency of your employees
•Poweredbydatavisualizationanddecisionsupporttoolsthatcanenablelarge
scale labor efficiencies.
Consulting and services to guide your transformation
• Implementationsupportfornotjusttechnologybutalsoclinicaltransformation.
Program services
• Tofillcapabilitygaps,whereneeded(enrollment,coaching,logistics,etc.)
Enterprise approach to care delivery
Telehealth across the enterprise
Care delivery transformationIn this new paradigm, you need to embark on a programmatic
approach to transforming your clinical delivery models, and
Philips can lead you through that journey.
Hospital to Home
Philips Hospital to Home4
eICUTransforming critical care
Helping to reduce length of stay and mortalityPhilips eICU Program clinically transforms the ICU, using a proactive care model that helps address the issue of growing physician and nurse shortages while dramatically improving quality of care. Through an ideal blend of medicine with technology, this care model leverages clinical expertise, patented processes, and cutting-edge technologies to improve critical care delivery.
eAcuteTelehealth for medical/surgical hospital units
Expanding telehealth across the enterpriseAs patient acuity in hospitals continues to increase, care of patients in med/surg units represents an area of substantial unmet need and consumption of healthcare resources. The Philips eAcute program, scheduled for commercial availability in June 2014, addresses this challenge by bringing the power of centralized, telehealth-based monitoring to patients on the med/surg units. In addition to bi-directional audio and video access in patient rooms, the program includes several key features that address readmissions, patient well-being and satisfaction, as well as clinical best practices.
Telehealth-enabled critical and acute care programs
ICU outcomes1
General floor outcomes
Application of the eICU care model to the medical/
surgical patient population can positively impact
patient outcomes, throughput, and costs. Compared
to standard care, a telehealth-based care delivery
model in the medical/surgical unit:2
· Reduced the length of stay by 17%
· Reduced the cost of care per case by 16%
· Reduced death or discharge to hospice care by 26%
· Reduced falls by 36%
15%faster discharge
16%more likely to survive
Hospital mortalityPatients receiving critical care from a hospital with Philips eICU were 16% more likely to survive the hospital portion of the stay.
Hospital length of stayPatients receiving critical care from a hospital with Philips eICU were discharged from the hospital portion of the stay 15% faster.
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eConsultantAccessing remote specialists across the enterprise
Delivering remote expertise to the point of care Unlike other episodic care telehealth solutions, eConsultant leverages the eICU model, driving evidence-based, coordinated care across patient populations. In doing so, eConsultant helps transform an operational eICU Program into a broad-based telehealth center. Applications include Telestroke and eSNF.
The Telestroke module of eConsultant enables the eICU Center, stroke team (including remote stroke neurologists), and emergency department clinicians to collaborate in evaluating patients with suspected stroke, and then manage care using the American Heart Association’s stroke guidelines. eConsultant provides a stroke patient profile screen complete with specific stroke care guidelines, a view of all relevant data, and a timeline to track the time-sensitive metrics of stroke care.
By using eConsultant Telestroke, clinicians can be better equipped to help address the needs of the stroke patient:•Timetocare•Coordinated,standardized
care across locations•Accesstoremote
stroke neurologists•Bestpracticecompliance•Coordinationofcaredelivery•Careacrossunits•Patientevaluationand
treatment during time-sensitive acute stroke phase in the ED
“Telestroke networks should be
deployed wherever a lack of readily
available stroke expertise prevents
patients in a given community from
accessing a primary stroke center
(or center of equivalent capability)
within a reasonable distance
or travel time to permit access
to specially trained stroke care
providers.”3
“We have never been more convinced of the power of
telehealth to improve patient access and outcomes
and reduce costs. Adding acute care telehealth
services is a natural extension of our successful eICU
and telestroke programs and will allow us to support
our mission to provide quality care to patients in need,
regardless of location.”
Lynn BrittonMercy, President and CEO
Telehealth-enabled critical and acute care programs
Philips Hospital to Home6
Intensive Ambulatory Care
eIACCollaborative care for complex chronic patients
The 5% that utilize 50% of healthcare spendThe Philips eIAC program combines population management solutions that connect an integrated care team to the patient. It enables all stakeholders in the clinical and social management of the patient to identify and address the root causes of the patient’s frequent admissions.
Five percent of your patients utilize 50% of your healthcare spend. There is a recognized inability to cost-effectively deliver care to high-cost, complex patients. Reversing that trend requires a new model of care, one that is integrated and coordinated across specialties and services. The eIAC program is a new comprehensive care program that is designed to address these core structural problems in our current healthcare delivery system. By combining leading telehealth technologies that monitor and educate, with a transformed clinical model that unites former factionalized care team members, eIAC brings a concentration of effort to this small number of patients that utilize the majority of your system’s resources and funds.
Telehealth-enabled tailored ambulatory care programs
“I would be lost without it. I’m just happy to be home with Ralph. To be able to talk to a doctor on a video, and we don’t have to wait days for a doctor appointment; it’s fabulous. This is the kind of care that Ralph and I have never had...I’m just thankful that we joined Banner iCare and have Philips equipment here.” The McCurdys Banner iCare/Philips IAC Patients
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“Telehealth is critically important to serve this large rural geographic area and provide access to home care and hospice. We know having the telehealth nurse work daily with high-risk patients enables us to reduce the frequency of trips to the home.” Lisa Harvey-McPherson, RN Vice President of Continuum of Care, Eastern Maine Health System
Transition to Ambulatory Care
eTrACDesigned to help reduce readmissions through early detection of signs and symptoms
Enables care team to intervene earlyThe Philips eTrAC program is designed to reduce readmissions and costs by enabling clinicians and patients to stay closely connected. It combines clinical software for effective chronic care management with in-home patient monitoring devices. Clinicians can remotely monitor patients in the home and prioritize them for intervention.
Remote patient monitoring:•Significantlyreducestheriskofdeathandhospitalization4,5
•Leadstobetterclinicaloutcomesandreducedlong-term healthcare costs due to fewer hospitalizations6
•Increasesquality-of-lifeandpatientsatisfactionthrough daily monitoring7
Chronic Ambulatory Care
eCACCare for ongoing chronic patients
Outcomes through behavior changeThe Philips eCAC program focuses on developing self-care skills for chronic patients in the community setting. With the eCAC program, a specific care plan is recommended for each patient, which can be personalized according to the patient’s condition and motivational progress. Providers can tailor the protocols to best fit the needs of their organization and the requirements of the managed patients. Each care plan allows you to set the limits on incoming vital signs, as well as for survey replies, and send educational content to help empower patients to self-care.
Tackling complex cases with telehealth
“The top 5% of patients in any system use a lot of resources. Philips and Banner are partnering to take care of the sickest of the ambulatory patients. It’s really an amazing model of care that doesn’t exist anywhere else.” Edward Perrin, MD Banner iCareTM
Telehealth-enabled tailored ambulatory care programs
Shield_CMYK_2013
Version 1.1 – 25 October 2013
1. LillyCM,etal.AMulti-CenterStudyofICUTelemedicineReengineeringofAdultCriticalCare.CHEST. 2013; doi: 10.1378/chest.13-1973
2.JenkinsCL,etal.PositiveDeviance:IntroducingeICUTechnologytotheMedicalSurgicalPatientPopulation. Banner Health. Nov. 2010.
3.SchwammLH,etal.RecommendationsfortheImplementationofTelemedicineWithinStroke Systems of Care. A Policy Statement From the American Heart Association. Stroke. 2009;40:2635-60.
4.KlersyC.etal.AMeta-AnalysisofRemoteMonitoringofHeartFailurePatients.J Am Coll Cardiol.2009Oct27;54(18):1683-94.
5.InglisSC.StructuredTelephoneSupportorTelemonitoringProgrammesforPatientswithChronicHeartFailure(Review).The Cochrane Library.2010;(8).
6.SetoE.CostComparisonBetweenTelemonitoringandUsualCareofHeartFailure:ASystematicReview.Telemedicine and e-Health.2008Sep;14(7):679-686.
7. Polisena J et al. Home telemonitoring for congestive heart failure: a systematic review and meta-analysis. J Telemed Telecare.2010;16(2):68-76.
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Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.
To learn more about how Philips Hospital to Home programs can help transform your organization, go to hospitaltohome.philips.com or call (866) 554-4776.